Pharmacy Access & Authorization Specialist

1002 Adventist Midwest Management Services

Bolingbrook (IL)

On-site

USD 32,000 - 59,000

Full time

14 days+

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Job summary

UChicago Medicine AdventHealth in Bolingbrook, IL is seeking a Pharmacy Technician to support prior authorizations, patient enrollment, and coordination with pharmacists and clinic staff. The role focuses on ensuring timely medication access and efficient workflow in a busy ambulatory pharmacy setting.

The ideal candidate has a strong attention to detail, excellent customer service, and experience with pharmacy benefits plans.

Qualifications

Education: High School Grad or Equiv [Required]
Work Experience: 1+ years retail, specialty, or mail-order pharmacy setting [Preferred]
5+ years of ambulatory or specialty pharmacy experience [Required]
Pharmacy Benefit Management (PBM), managed healthcare organization, insurance experience [Preferred]

Responsibilities

Completes prior authorization forms, negotiates authorization status with insurers, tracks prescription approval status, and alerts clinical pharmacists of denials or nonresponse.
Facilitates enrollment of patients in patient assistance programs and collaborates with social services and case management.
Assists pharmacists with preparing letters of medical necessity and coordinating peer-to-peer conferences.
Expedites clinic workflow and enhances patient care by preventing therapy interruptions due to insurance issues in conjunction with pharmacists, physicians, and clinic staff.
Develops marketing materials and communication strategies under the guidance of the pharmacy management team to increase patient recruitment and prescription capture rate of high-cost take-home medications.